|
Postpartum Care Only
|
$837.20 |
$837.20 |
$837.20 |
$364.80
|
|
Post seg spine instrument/3-6 seg 22842
|
$3,591.90 |
$3,591.90 |
$3,591.90 |
$1,837.60
|
|
Potassium 24 hour urine
|
$21.45 |
$21.45 |
$21.45 |
$51.10
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$9.10 |
$9.10 |
$9.10 |
$61.80
|
|
Potassium hydroxide preps
|
$26.00 |
$26.00 |
$26.00 |
$22.40
|
|
Potassium serum/plasma/whole blood
|
$21.45 |
$21.45 |
$21.45 |
$47.85
|
|
Pq dr cath chg w cont s&i
|
$683.15 |
$683.15 |
$683.15 |
$721.71
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$21,359.65 |
$21,359.65 |
$21,359.65 |
$10,195.00
|
|
Pq thr inj ext pse
|
$2,310.75 |
$2,310.75 |
$2,310.75 |
$786.66
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$2,925.65 |
$2,925.65 |
$2,925.65 |
$2,975.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$4,664.99
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$4,811.54
|
|
Pralatrexate injection
|
$15,543.74 |
$15,543.74 |
$15,543.74 |
$20,353.38
|
|
Pralidoxime 1 gram solution for injection
|
$202.88 |
$202.88 |
$202.88 |
$292.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$3,738.90
|
|
Pr application of long arm splint
|
$471.90 |
$471.90 |
$471.90 |
$334.08
|
|
Pr application splint static short arm
|
$385.45 |
$385.45 |
$385.45 |
$288.51
|
|
Pr assessment emotional/behavioral per instrument brief
|
$42.90 |
$42.90 |
$42.90 |
$47.49
|
|
Pr biopsy skin punch single lesion
|
$779.35 |
$779.35 |
$779.35 |
$458.25
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$2,415.40 |
$2,415.40 |
$2,415.40 |
$6,653.00
|
|
Pr correction hammertoe
|
$1,607.45 |
$1,607.45 |
$1,607.45 |
$4,028.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$62.40 |
$62.40 |
$62.40 |
$48.00
|
|
Prcrd drg 0-5yr or w/anomly
|
$3,454.10 |
$3,454.10 |
$3,454.10 |
$2,157.55
|
|
Prcrd drg 6+yr without anomly
|
$3,518.45 |
$3,518.45 |
$3,518.45 |
$2,253.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$733.20 |
$733.20 |
$733.20 |
$5,262.80
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$390.00 |
$390.00 |
$390.00 |
$130.40
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$559.00 |
$559.00 |
$559.00 |
$178.75
|
|
Prealbumin
|
$65.65 |
$65.65 |
$65.65 |
$94.00
|
|
Pr ecg 12 lead report only
|
$48.75 |
$48.75 |
$48.75 |
$20.40
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$111.80 |
$111.80 |
$111.80 |
$51.75
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$2.68 |
$2.68 |
$2.68 |
$13.80
|
|
Prednisone 1 mg tablet
|
$8.45 |
$8.45 |
$8.45 |
$2.88
|
|
Prefab stnlss steel crown pe
|
$325.00 |
$325.00 |
$325.00 |
$1,685.60
|
|
Prefab stnlss steel crwn pri
|
$260.00 |
$260.00 |
$260.00 |
$845.60
|
|
Pregabalin - sendout
|
$20.80 |
$20.80 |
$20.80 |
$76.70
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$1,017.90 |
$1,017.90 |
$1,017.90 |
$2,298.00
|
|
Pregnancy associated plasma protein-a
|
$67.60 |
$67.60 |
$67.60 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$734.50 |
$734.50 |
$734.50 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$760.50 |
$760.50 |
$760.50 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$663.00 |
$663.00 |
$663.00 |
$459.00
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$520.00 |
$520.00 |
$520.00 |
$144.00
|
|
Prenatal Care Only (4-6 visits)
|
$2,028.00 |
$2,028.00 |
$2,028.00 |
$613.78
|
|
Prenatal Care Only (7+ visits)
|
$3,718.00 |
$3,718.00 |
$3,718.00 |
$1,143.04
|
|
Prepare fecal microbiota
|
$369.20 |
$369.20 |
$369.20 |
$425.60
|
|
Prepj skn cll ssp agrft 1st
|
$14,138.80 |
$14,138.80 |
$14,138.80 |
$14,138.80
|
|
Prepj tum cav iort prtl mast
|
$780.00 |
$780.00 |
$780.00 |
$780.00
|
|
Prep skin to 100cm2 other
|
$1,190.80 |
$1,190.80 |
$1,190.80 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$1,043.90 |
$1,043.90 |
$1,043.90 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$208.00 |
$208.00 |
$208.00 |
$1,100.06
|
|
Pressure max expiratory/inspiratory
|
$315.90 |
$315.90 |
$315.90 |
$243.75
|
|
Pressure treatment esophagus
|
$985.40 |
$985.40 |
$985.40 |
$2,035.50
|
|
Pressure velocity wire add ves
|
$3,373.50 |
$3,373.50 |
$3,373.50 |
$1,618.20
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$768.30 |
$768.30 |
$768.30 |
$162.00
|
|
Pretreat rbc absorption reference
|
$266.50 |
$266.50 |
$266.50 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$768.30 |
$768.30 |
$768.30 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$266.50 |
$266.50 |
$266.50 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$768.30 |
$768.30 |
$768.30 |
$170.00
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$1,081.60 |
$1,081.60 |
$1,081.60 |
$308.00
|
|
Prev med cnsl indiv apprx 15
|
$124.80 |
$124.80 |
$124.80 |
$74.88
|
|
Prev med cnsl indiv apprx 30
|
$254.80 |
$254.80 |
$254.80 |
$116.00
|
|
Prev med cnsl indiv apprx 45
|
$379.60 |
$379.60 |
$379.60 |
$175.68
|
|
Prev med cnsl indiv apprx 60
|
$507.00 |
$507.00 |
$507.00 |
$209.40
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$743.60 |
$743.60 |
$743.60 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$779.35 |
$779.35 |
$779.35 |
$780.60
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$5,935.80 |
$5,935.80 |
$5,935.80 |
$3,336.80
|
|
Prgrmg dev eval impltbl sys
|
$382.20 |
$382.20 |
$382.20 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$308.10 |
$308.10 |
$308.10 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$274.30 |
$274.30 |
$274.30 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$382.20 |
$382.20 |
$382.20 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$468.00 |
$468.00 |
$468.00 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$496.60 |
$496.60 |
$496.60 |
$206.05
|
|
Prgr stim/pace a/iv drug
|
$6,561.75 |
$6,561.75 |
$6,561.75 |
$4,540.00
|
|
Pr hospital ip/obs care initial high level per day
|
$910.00 |
$910.00 |
$910.00 |
$348.40
|
|
Pr hospital ip/obs care initial moderate level per day
|
$676.00 |
$676.00 |
$676.00 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$423.80 |
$423.80 |
$423.80 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$624.00 |
$624.00 |
$624.00 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$413.40 |
$413.40 |
$413.40 |
$117.65
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$260.00 |
$260.00 |
$260.00 |
$74.75
|
|
Prim art mech thrmbc non-intracranial
|
$32,778.20 |
$32,778.20 |
$32,778.20 |
$9,395.50
|
|
Prim art mech thrmbc non-intracranial add-on
|
$3,600.35 |
$3,600.35 |
$3,600.35 |
$3,675.76
|
|
Prin care mgmt staff 1st 30
|
$260.00 |
$260.00 |
$260.00 |
$108.93
|
|
Pr incision & drainage abscess complicated/multiple
|
$779.35 |
$779.35 |
$779.35 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$387.40 |
$387.40 |
$387.40 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$909.35 |
$909.35 |
$909.35 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$779.35 |
$779.35 |
$779.35 |
$605.28
|
|
Pr management transitional care high w/in 7 days of discharge
|
$985.40 |
$985.40 |
$985.40 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$722.80 |
$722.80 |
$722.80 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$455.65 |
$455.65 |
$455.65 |
$255.00
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$4,209.00
|
|
Probe cryo 1150mm endo flex ster disp
|
$3,203.20 |
$3,203.20 |
$3,203.20 |
$7,350.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$526.50 |
$526.50 |
$526.50 |
$674.78
|
|
Procalcitonin
|
$122.20 |
$122.20 |
$122.20 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$10.53 |
$10.53 |
$10.53 |
$38.32
|
|
Proctectomy complete abd w/clst 45110
|
$7,997.60 |
$7,997.60 |
$7,997.60 |
$3,515.40
|
|
Proctosigmoidoscopy ablate
|
$436.80 |
$436.80 |
$436.80 |
$3,481.77
|
|
Proctosigmoidoscopy control bleed 45317
|
$494.00 |
$494.00 |
$494.00 |
$1,395.28
|
|
Proctosigmoidoscopy dilate 45303
|
$364.00 |
$364.00 |
$364.00 |
$2,326.40
|
|
Proctosigmoidoscopy dx 45300
|
$208.00 |
$208.00 |
$208.00 |
$1,078.88
|
